Abstract:

The invention provides a microphone matrix for recording body sounds, such
as respiratory tract sounds. The matrix has a frame having one or more
recesses or openings on one of its surfaces. A microphone assembly is
disposed in each recess or opening in the frame. When a body portion is
applied to the matrix, each microphone assembly moves from an extended,
spring biased position in which at least a portion of the microphone
assembly protrudes beyond the surface of the frame towards a retracted
position in which the microphone assembly is deeper inside the recess.

Claims:

1-19. (canceled)

20. A microphone matrix for recording body sounds, comprising:(a) a
flexible frame having a plurality of recesses or openings on a surface of
the housing or frame; and(b) one or more microphone assemblies, each
microphone assembly comprising a microphone configured to record the body
sounds, and each microphone assembly being disposed in a recess or
opening in the frame, and wherein each microphone assembly is movable
from an extended, spring biased position in which at least a portion of
the microphone assembly protrudes beyond the surface of the frame to a
retracted position in which the microphone assembly is deeper inside the
recess.

21. The matrix according to claim 20 wherein the housing or frame is
formed from an acoustically dampening material.

22. The matrix according to claim 20 wherein at least one microphone
assembly is attached to the housing or frame by an acoustically dampening
material.

23. The matrix according to claim 20 wherein at least one microphone
assembly includes a spacer formed from an acoustically conducting
material.

24. The matrix according to claim 20 further comprising one or more
housings, each housing having a recess, wherein each microphone assembly
is disposed in the recess of one of the housings and is supported by a
tongue extending from a wall of the housing.

25. The matrix according to claim 20 wherein the frame has a plurality of
apertures each aperture configured to receive a microphone assembly.

26. The matrix according to claim 20 wherein the body sounds are
respiratory tract sounds.

27. The matrix according to claim 20 wherein the frame conforms to a body
surface when the body surface is applied to the matrix.

28. The matrix according to claim 27 wherein the body surface includes at
least a portion of a back.

29. The matrix according to claim 20 wherein channels are formed in the
frame and microphone leads pass through the channels.

30. The matrix according to claim 20 wherein the microphones are wireless.

31. The matrix according to claim 20 wherein microphone leads are
incorporated into a cable extending from the housing.

32. A method for recording body sounds comprising(a) providing a
microphone matrix for recording body sounds, the matrix comprising:(i) a
flexible frame having one or more recesses or openings on a surface of
the housing or frame; and(ii) one or more microphone assemblies, each
microphone assembly comprising a microphone configured to record the body
sounds, and each microphone assembly being disposed in a recess or
opening in the frame, and wherein each microphone assembly is movable
from an extended, spring biased position in which at least a portion of
the microphone assembly protrudes beyond the surface of the frame to a
retracted position in which the microphone assembly is deeper inside the
recess.(b) placing the microphone matrix on a surface; and(c) applying a
body surface of an individual to the matrix.

33. The method according to claim 32 wherein at least a portion of the
weight of the individual is transferred to the matrix.

34. The method according to claim 32 wherein the matrix conforms to the
body surface when the weight of the individual is transferred to the
frame.

35. The method according to claim 32 wherein at least one microphone
assembly moves from the extended spring biased position towards the
retracted position when the weight of an individual is transferred to the
microphone assembly.

36. The method according to claim 32 further comprising analyzing signals
obtained by the one or more microphones.

38. The method according to claim 32 wherein the body sounds are
respiratory tract sounds.

39. A system for analyzing body sounds comprising:(a) a microphone matrix
for recording body sounds, the matrix comprising:(i) a flexible frame
having one or more recesses or openings on a surface of the housing or
frame; and(ii) one or more microphone assemblies, each microphone
assembly comprising a microphone configured to record the body sounds,
and each microphone assembly being disposed in a recess or opening in the
frame, and wherein each microphone assembly is movable from an extended,
spring biased position in which at least a portion of the microphone
assembly protrudes beyond the surface of the frame to a retracted
position in which the microphone assembly is deeper inside the recess;
and(b) electronic circuitry for analyzing signals obtained by the one or
more microphones.

40. A microphone assembly for use in a microphone matrix according to
claim 20.

Description:

FIELD OF THE INVENTION

[0001]This invention relates to medical devices and more particularly to
such devices for applying a microphone to a body surface.

BACKGROUND OF THE INVENTION

[0002]Body sounds are routinely used by physicians in the diagnosis of
various disorders. A physician may place a stethoscope on a person's
chest or back and monitor the person's breathing or heart sounds in order
to detect adventitious (i.e. abnormal or unexpected) body sounds. The
identification and classification of these adventitious sounds often
provide important information about physiological abnormalities.

[0003]It is also known to affix a microphone to the body in order to
record body sounds. The recorded sound signals may be amplified and
filtered before being listened to by the physician. The recorded signals
may also be analyzed by signal processing techniques.

[0004]It is also known to affix a plurality of microphones over a body
surface in order to obtain a plurality of sound signals simultaneously
from the body surface. Applicant's U.S. Pat. No. 6,887,208 discloses a
system in which a plurality of microphones are affixed to a person's back
or chest for recording respiratory tract sounds. This patent teaches
embedding the microphones in a matrix that may be in the form of a vest
or garment securely worn by the person during signal acquisition.
Different sized or shaped matrixes may be used for differently sized
individuals, for different sexes, ages, etc.

[0005]U.S. Pat. No. 6,394,967 discloses a system in which a plurality of
microphones are affixed to a person's back or chest for recording
respiratory tract sound. This patent teaches affixing the microphones to
the body surface using tape or straps to prevent dislocation or movement
during the data acquisition process.

[0006]Kompis et al. (Chest 120:4, 2001, 1309-1321) discloses affixing
eight or sixteen microphones to an individual's chest for obtaining
respiratory tract signals, but the method of attachment is not disclosed.

[0007]U.S. Pat. No. 4,777,961 discloses affixing a microphone to a body
surface by means of suction. A microphone embedded in the wall of a dome
shaped stethoscope head is formed from an elastic flexible material. The
stethoscope head is squeezed by fingertip pressure as it is applied to
the body surface. When the fingertip pressure is removed, the head
expands slightly so as to create a partial vacuum in its interior so as
to keep the head affixed to the body surface. The membrane of the
microphone, however, is not pressed against the body surface.

[0008]U.S. Pat. No. 4,736,749 discloses a holder for a signal pick-up
device, such as a microphone or electrode that is fixed to the body
surface by vacuum. The holder has a chamber that is evacuated by an
external source of negative pressure. When the chamber is evacuated, the
holder is held firmly to the skin and the signal-pick up device is
pressed to the skin inside the chamber.

[0009]U.S. Pat. No. 6,790,183 discloses embedding a plurality of
microphones within a single structure referred to as a "cassette". The
cassette includes a core preferably made from foam, for supporting the
microphones. Recesses formed in the foam core receive the microphones so
that the microphones are flush with the upper surface of the core. The
cassette is positioned on a hospital bed between the mattress and a
patient and the patient lies on the cassette with the microphones
positioned at a location of interest to for the recording of body sounds.

[0010]U.S. Pat. No. 7,011,087 discloses a mat that is placed beneath a
lying patient. The mat contains measuring means to measure airway
vibrations of the patient.

SUMMARY OF THE INVENTION

[0011]In its first aspect, the present invention provides a microphone
matrix for recording body sounds. The microphone matrix of the invention
comprises a housing having a surface with a plurality of recesses. A
microphone assembly is suspended in each recess by means of one or more
elastic elements. The elastic elements position the microphone assembly
in a position in which at least a portion of the microphone assembly
protrudes beyond the surface of the housing. When a force is applied to
the microphone assembly towards the housing, the microphone assembly
moves against the elasticity of the elastic elements towards the interior
of the housing. Thus, when a body surface, such as a person's back is
applied to the matrix, the microphone assemblies are pressed onto the
body surface to create good acoustic coupling between the body surface
and the microphone assembly.

[0012]The housing and the elastic elements are preferably formed from an
acoustically dampening material. A spacer in each microphone assembly is
preferably formed from an acoustically conducting material. Thus
vibrations received in the spacer are conducted to the microphone while
vibrations in the housing or the projection are essentially not conducted
to the microphone. Cross-talk between the microphones is also reduced.

[0013]In one embodiment of the invention, the microphone matrix comprises
a plurality of microphone units joined together by a flexible frame. In
another embodiment, the microphone matrix has a housing contoured to
receive a body portion from which body sounds are to be recorded. For
example, the surface may be contoured so as to receive the back and neck
region of the body when respiratory sounds are to be detected. A
microphone is suspended in each of a plurality of recesses in the surface
by means of two or more elastic elements, as explained above.

[0014]In its second aspect, the invention provides a system for recording
and/or analyzing body sound signals. The system of the invention includes
one or more microphone matrices of the invention. Each microphone in the
matrix produces an analog voltage signal indicative of pressure waves
arriving at that microphone. In use, the matrix is placed on a surface
such as an examination table or hospital bed. Since the microphones in
the microphone matrix are elastically biased to protrude beyond the upper
surface of the matrix housing, with a body surface applied to the surface
of the housing, at least some of the weight of the individual is
transferred to the microphones. In this way, the microphones are firmly
applied to the body surface without the need of an attachment system,
such as straps, tape, or vacuum. Respiratory tract sounds, or other body
sounds at the body surface are detected by the microphones. The system of
the invention also includes signal processing circuiting for processing
signals obtained by the microphones, as required in any application. For
example, the electronic circuitry for processing acoustic signals
obtained from two or more microphones, as disclosed in U.S. Pat. No.
6,394,967 to Murphy, Kompis et al. supra, and in Applicant's U.S. Pat.
No. 6,887,208 may be used in the system of the invention.

[0015]In its third aspect, the invention provides a method for recording
body sounds. In accordance with this aspect of the invention, a body
surface is applied to a microphone matrix of the invention and sounds
detected by the microphones are recorded and/or analyzed.

[0016]This, in its first aspect, the invention provides a microphone
matrix for recording body sounds, comprising: [0017](a) a frame having
one or more recesses or openings on a surface of the housing or frame;
and [0018](b) one or more microphone assemblies, each microphone assembly
comprising a microphone, and each microphone assembly being disposed in a
recess or opening in the frame, and wherein each microphone assembly is
movable from an extended, spring biased position in which at least a
portion of the microphone assembly protrudes beyond the surface of the
frame to a retracted position in which the microphone assembly is deeper
inside the recess.

[0019]In its second aspect, the invention provides a method for recording
body sounds comprising: [0020](a) providing a microphone matrix for
recording body sounds, the matrix comprising: [0021](i) a frame having
one or more recesses or openings on a surface of the housing or frame;
and [0022](ii) one or more microphone assemblies, each microphone
assembly comprising a microphone, and each microphone assembly being
disposed in a recess or opening in the frame, and wherein each microphone
assembly is movable from an extended, spring biased position in which at
least a portion of the microphone assembly protrudes beyond the surface
of the frame to a retracted position in which the microphone assembly is
deeper inside the recess. [0023](b) placing the microphone matrix on a
surface; and [0024](c) applying a body surface of an individual to the
surface of the frame.

[0025]In its third aspect, the invention provides a system for analyzing
body sounds comprising: [0026](a) a microphone matrix for recording
body sounds, the matrix comprising: [0027](i) a frame having one or more
recesses or openings on a surface of the housing or frame; and [0028](ii)
one or more microphone assemblies, each microphone assembly comprising a
microphone, and each microphone assembly being disposed in a recess or
opening in the frame, and wherein each microphone assembly is movable
from an extended, spring biased position in which at least a portion of
the microphone assembly protrudes beyond the surface of the frame to a
retracted position in which the microphone assembly is deeper inside the
recess; and [0029](b) electronic circuitry for analyzing signals
obtained by the one or more microphones.

[0030]The invention also provides a microphone assembly for use in the
microphone matrix of the invention.

BRIEF DESCRIPTION OF THE DRAWINGS

[0031]In order to understand the invention and to see how it may be
carried out in practice, a preferred embodiment will now be described, by
way of non-limiting example only, with reference to the accompanying
drawings, in which:

[0032]FIG. 1 shows a perspective view of a microphone unit for use in a
microphone matrix of the invention;

[0039]FIG. 8 shows the microphone matrix of FIGS. 6 and 7 in the presence
of a force applied to the microphone assemblies;

[0040]FIG. 9 shows a system for recording and analyzing body sounds in
accordance with one embodiment of the invention; and

[0041]FIG. 10 shows exemplary electronic circuitry for use in the system
of FIG. 9.

DETAILED DESCRIPTION OF EXEMPLARY EMBODIMENTS

[0042]FIG. 1 shows a microphone unit 1 for use in a microphone matrix for
recording body sounds in accordance with one embodiment of the invention.
The microphone unit 1 has a housing having the general shape of a
rectangular parallelepiped. The housing 1 has an opening 2 on an upper
side. A microphone assembly 4 is supported by a projection 6 shown alone
in FIG. 2. The projection 6 has an aperture 8 surrounded by a collar 9
configured to receive the microphone assembly 4. The projection 6 has a
tab portion 10 configured to be inserted into a slot 12 formed into the
wall of the housing 1, as shown in FIG. 1. A groove 14 is formed in the
bottom surface of the projection 6 that separates the tab portion 10 from
a tongue portion 16. The groove 14 creates a resiliently flexible hinge
at the boundary between the tab portion 10 and the tongue portion 16.

[0043]FIG. 3 shows a cross-sectional view of the microphone unit 1 through
the microphone assembly 4. The projection 6 is inserted into the slot 12
and is bonded in place. The slot 12 is formed in a wall 18 of the housing
at an oblique angle so that the projection 6 extends obliquely from the
wall 18. The microphone assembly 4 includes a microphone 20 and a spacer
22. The spacer 22 has a narrow neck portion 26 configured to be
immobilized in the aperture 8 in a snap-fit, and a dome portion 24 having
a hemispherical surface.

[0044]The hinge in the projection 6 formed by the groove 14 and is biased
in a straight position, as shown in FIG. 3, when an external force is not
applied the dome portion 24. In this configuration, the dome portion 24
protrudes beyond the walls of the housing 2. When a downward force is
applied to the dome portion 24, the projection 6 bends at the hinge 14,
with the tongue portion 16 moving downwards towards the interior of the
housing 2. For example, as shown in FIG. 4, when a body part 28, such as
a person's back is applied to the dome portion 24, the tongue portion 16
is deflected downwards. Due to the resiliently flexible character to the
hinge 14, the dome portion 24 is pressed onto the surface of the body
part 28 to create good acoustic coupling between the body part 28 and the
dome portion 24.

[0045]The housing 2 and the projection 6 are formed from an acoustically
dampening material. The spacer 22 is formed from an acoustically
conducting material. Thus vibrations received in the dome portion 24 of
the spacer 22 are conducted to the microphone 20. Vibrations received in
the housing 2 or the projection 6 are essentially not conducted to the
microphone 20. Thus, vibrations originating in the body part 28 are
received in the dome portion 24 and conducted to the microphone 20.

[0046]FIG. 5 shows a microphone matrix 30 comprising a plurality of the
microphone units 1. The matrix 30 has a frame 32 formed from a flexible
acoustically dampening material in which a plurality of apertures 34 are
formed. Each aperture 34 is configured to receive a microphone unit 1
that is grasped in the aperture by a snap fit. Due to the flexibility of
the frame 32, the matrix 30 is flexible and can conform to the shape of a
surface applied to it. For example, when the matrix is placed on a
mattress and person's back is applied to the matrix, the matrix will
conform to the shape of the person's back. The matrix 30 includes a cable
36 of electrical wire leads from each microphone. In another embodiment
(not shown), the microphone leads are in the form of a printed circuit on
the surface of the support 2. In yet another embodiment (not shown), the
microphones 4 are wireless, in which case each microphone includes a
transmitter for transmitting signals to the electronic circuitry.

[0047]FIGS. 6 and 7 show a microphone matrix 41 for recording body sounds
in accordance with another embodiment of the invention. The matrix 41 is
shown in a perspective view in FIG. 6 and in a sectional view in FIG. 7.
The matrix 41 includes a frame 42 in which one or more microphones 44 are
embedded. The frame 42 has an upper surface 46 that is contoured to
receive a body portion from which body sounds are to be recorded. For
example, as shown in FIG. 6, the upper surface 46 may be contoured so as
to receive the back and neck region of the body when respiratory tract
sounds are to be detected. The frame 42 has a generally flat bottom
surface 48 to allow the matrix 41 to be placed on a flat surface, such as
a bed, as explained below. The frame 42 is made from an acoustically
damping material in order to dampen vibrations originating on the surface
upon which the matrix 41 is placed.

[0048]The frame 42 is provided with one or more recesses 48. A microphone
42 is disposed in each of the recesses 50. A microphone 44, for example,
the microphone 44a is suspended in its respective recess 48a by means of
two or more elastic cords 52, so that the microphone 44a is not in direct
contact with the frame 42. By not placing the microphones 42 in direct
contact with the frame 42, any extraneous vibrations in the frame 42 are
essentially not picked up by the microphones 2.

[0049]Each of the microphones 44 is provided with a spacer 43 made from an
acoustically conducting material. The microphones 44 are disposed in the
recesses 48 so that the spacer 43 of each microphone protrudes above the
upper surface 46 of the frame 42, as shown in FIG. 6. As shown in FIG. 8,
due to the elasticity of the cords 52, when a body surface 53 is applied
to the upper surface 46 of the frame 42, each of the microphones 44 is
applied to the body surface 53. In one embodiment of the invention, leads
56 extend from each microphone 44 to the exterior of the frame 42 via a
system of channels 58 connecting each recess 48 with the exterior, so
that the leads may be attached to signal processing circuitry (not
shown), as required in any application. The microphone leads 56 extending
from the frame 42 are collected into a single cable 68 that terminates in
a plug 69 for connection to electronic circuitry for recording and/or
analyzing voltage signals from the microphones 44. In another embodiment
(not shown), the microphone leads are in the form of a printed circuit on
the surface of the frame 42. In yet another embodiment, the microphones
44 are wireless, in which case each microphone includes a transmitter for
transmitting signals to the electronic circuitry.

[0050]FIG. 9 shows a system 65 for recording and/or analyzing body sound
signals, in accordance with the invention. The system 65 includes one or
more microphone matrices 61 of the invention, for example the microphone
matrix 30 described above in reference to FIG. 5 or the microphone matrix
44 described above in reference to FIGS. 6 and 7. Each microphone in the
matrix 61 produces an analog voltage signal indicative of pressure waves
arriving at that microphone. As shown in FIG. 10, in use, the matrix 61
is placed on a surface 62 such as an examination table or hospital bed.
The upper surface of the microphone matrix 61, may be covered with an
acoustically transparent disposable film (not shown) such as hospital
grade "clean wrap" before a body surface, such as the back of an
individual 64, is applied to the microphone matrix 61. The surface 62 may
be completely flat as shown in FIG. 9, or may be articulated so as to
allow the individual 64 to sit up during recording of body sounds.

[0051]As explained above, the microphones in the microphone matrix 61 are
elastically biased to protrude above the upper surface of the matrix
housing. Thus, with the back of the individual 64 properly positioned on
the upper surface of the housing of the microphone matrix 61, at least
some of the weight of the individual 64 is transferred to the upper
surface of the support housing. In this way, the microphones are firmly
applied to the individual's back without the need of an attachment
system, such as straps, tape, or vacuum. Since the spacer of the
microphone assembly is preferably made from an acoustically conducting
material, respiratory tract sounds, or other body sounds originating in
the thorax are detected by the microphones in the matrix 61. Extraneous
vibrations originating outside the body such as vibrations due to
movement of the individual or vibrations conducted through the surface
62, for example, due to the movement of other people or due to the
operation of equipment in the vicinity of the surface 62, are essentially
not detected by the microphones in the matrix since the microphone
assemblies are connected to the housing or frame by a material that is
not acoustically conducting.

[0052]The ability to apply the microphone matrix of the invention to a
body region without the need for any fastening devices such as straps or
vacuum, allows the microphone matrix to be applied to a body over a
prolonged period of time. The system of the invention may thus be used
for continuously monitoring and recording body sounds over a
substantially unlimited period of time. In particular, the system may be
used to continuously monitor body sounds such as reparatory tract sounds
or cardiac sounds in an individual in an intensive care unit.

[0053]A cable 68 is connected to signal processing circuiting 70 for
processing signals obtained by the microphones 44, as required in any
application. The wires in the cable 68 provide each microphone 44 with a
voltage that may be used for activating a preamplifier in the microphone,
and also serve for transmitting a voltage signal to recording or
analyzing circuitry when wires connected to a microphone are connected at
another end to recording or analyzing circuitry, as described below. If
the microphones 44 are wireless, the electronic circuitry 70 includes a
receiver for receiving signals from the microphone transmitters.

[0054]FIG. 10 shows exemplary electronic circuitry 70 that may be used in
the system 65 of the invention. Any method for analyzing body sounds may
be used in the system of the invention. For example, the electronic
circuitry for processing acoustic signals obtained from two or more
microphones, as disclosed in U.S. Pat. No. 6,394,967 to Murphy, Kompis et
al. supra, or U.S. Pat. No. 6,887,208 may be used in the system of the
invention. In the circuitry shown in FIG. 10, the analog signals are
digitized by a multi-channel analog to digital converter 72. The digital
data signals 74, are input to a memory 76. Data input to the memory 76
are accessed by a processor 78 configured to process the data signals 74.
The signals 74 may be denoised by filtering components having frequencies
outside of the range of body sounds in the body region, for example,
vibrations due to movement of the individual. Each signal 74 may also be
individual to band pass filtering so that only frequency components in
the signal within a range of interest are analyzed. An input device such
as a computer keyboard 80 or mouse 82 is used to input relevant
information relating to the examination such as personal details of the
individual 64. A display screen 84 is used to display the signals 74 or
the results of the processing.